12 AAC 44.835 - Training program standards
(a) A certified
nurse aide training program must be conducted in a manner to assure that
clients receive safe and competent care, and must train a certified nurse aide
to
(1) form a relationship, communicate, and
interact competently with the client;
(2) demonstrate sensitivity to the emotional,
social, and mental health needs of a client through skillful and directed
interactions;
(3) assist a client
in attaining and maintaining independence;
(4) exhibit behavior that supports and
promotes the rights of a client; and
(5) demonstrate the skills of observing,
caregiving, and reporting needed to document the health, physical condition,
and well-being of a client.
(b) To be approved by the board, a certified
nurse aide training program must provide the following:
(2) instructors who meet the requirements of
12 AAC 44.840;
(3) classroom and clinical facilities that
meet the requirements of (f) of this section;
(4) maintenance of records showing the
disposition of complaints received against the program.
(c) In addition to the requirements of (b) of
this section, a certified nurse aide training program must consist of at least
140 hours of training that
(1) includes a
minimum of 60 hours of didactic instruction that meets the requirements of
12 AAC 44.845;
(2) includes a minimum of 80 hours of
supervised skills and clinical training that meets the requirements of
12 AAC 44.847, and provides an
opportunity for students to gain the competencies required in
12 AAC 44.847, as follows:
(A) 48 hours must be in
(i) a long-term care facility;
(ii) an assisted living home licensed in this
state that has a registered nurse or practical nurse on staff 24 hours a day;
or
(iii) an acute care
facility;
(B) at least
32 hours must be in learning and practicing the skills under the direct
supervision of an approved instructor under
12 AAC 44.840; and
(3) documents each student's
demonstration of skills by completion of the nurse aide skills checklist
required under
12 AAC 44.852.
(d) During supervised skill and
clinical training, a ratio of 10 students to one instructor may not be exceeded
when the student is providing skills demonstration on an individual or clinical
care to a client. Before having any direct contact with a client, a student
must complete a minimum of 16 hours of classroom training and 16 hours of
specific skill training that includes
(1)
communication and interpersonal skills;
(2) infection control, including standard
precautions;
(3) safety and
emergency procedures;
(4)
respecting and promoting the rights of the client;
(5) observation, reporting, and documentation
of patient status and the care or service furnished;
(6) reading and recording temperature, pulse,
and respiration;
(7) basic elements
of body functioning and changes in body function that must be reported to a
nurse aide's supervisor; and
(8)
appropriate and safe techniques in personal hygiene and grooming that includes
(A) bed bath;
(B) sponge, tub, or shower bath;
(C) skin care;
(D) oral hygiene;
(E) toileting and elimination;
(F) safe transfer techniques and ambulation;
and
(G) positioning.
(e) The training
required under this section is in addition to a nursing facility's initial
employee orientation requirements.
(f) Classroom and clinical facilities must
provide space, comfort, safety, and equipment sufficient for conducting a
professional certified nurse aide training program. When evaluating the
sufficiency of classroom and clinical facilities, the board will consider
whether
(1) the facilities appear to be clean
and in good repair;
(2) a
comfortable temperature is maintained;
(3) the lighting is bright enough to allow
performance of classroom work, including reading and writing, and whether
increased lighting is available as needed for specific clinical
instruction;
(4) students have
ready access to toilets and lavatories;
(5) space is sufficient to allow each student
to be seated and take written notes during lectures, and to provide students
with an unobstructed view during demonstrations of clinical skill
tasks;
(6) the acoustics allow
students to hear the instructor;
(7) an aspect of the facilities likely could
interfere with the effective presentation of a certified nurse aide training
program; and
(8) the clinical
facility provides access to a sufficient number of clients to allow the student
to provide care for more than one client at a time, and for the student to gain
the competencies required in
12 AAC 44.847.
(g) Except as provided in (h) of
this section, the board will not approve a certified nurse aide training
program offered in or by a nursing facility that the state survey and
certification agency or the Centers for Medicare and Medicaid Services, United
States Department of Health and Human Services, has determined to be ineligible
under federal Medicare or Medicaid regulations to offer a nurse aide training
and competency evaluation program within the 24 months preceding the board's
review of the nursing facility's program.
(h) The board will approve a certified nurse
aide training program to be conducted in a nursing facility described under (g)
of this section if a program provider other than that nursing facility offers
the training program, and if the state survey and certification agency has
(1) determined that a similar program is not
offered within a reasonable distance of the facility;
(2) determined that an environment exists
that is adequate for the operation of the program in the facility;
and
(3) provided notice of its
determinations to the office of long term care ombudsman established under AS
44.21.231.
(i) The board
will maintain a current list of approved training programs. Those training
programs approved by the board as of October 9, 1998 are determined to be in
compliance with the requirements of
42 C.F.R.
483.152 and
42 C.F.R.
483.154. The board will review these programs
as provided in
12 AAC 44.857.
(j) During classroom instruction, the ratio
of students to the instructor may not exceed 20 students for each
instructor.
Notes
A list of the certified nurse aide training programs that the board has approved as of October 9, 1998 may be obtained from the Board of Nursing, Department of Commerce, Community, and Economic Development, 3601 C St., Suite 722, Anchorage, Alaska 99503-5986.
As of Register 171 (October 2004), the regulations attorney made technical revisions under AS 44.62.125(b)(6) to reflect the name change of the Department of Community and Economic Development to the Department of Commerce, Community, and Economic Development made by ch. 47, SLA 2004 and the corresponding title change of the commissioner of community and economic development.
Authority:AS 08.68.100
AS 08.68.331
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No prior version found.